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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMk <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA <br /> <br /> 0002945 <br /> Facility ID FA0003368 <br /> Date Printed �/15/2014 <br /> MONIZ, ROBERT RE : MONIZ DAIRY, ROBERT L <br /> MONIZ DAIRY, ROBERT L 12770 W SCHULTE RD <br /> 12770 W SCHULTE RD TRACY, CA 95377-9107 <br /> TRACY, CA 95377-9107 <br /> OWNER : MONIZ, ROBERT L <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0247209---Date of Invoice: 1/30/2014 *1N0247209107.00* <br /> 1/30/2014 1958 HM-Farm Operations $ 18.00 <br /> 1/30/2014 2221 USED OIL ONLY-<5 TONS/YR $ 54.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 35.00 <br /> Total for this Invoice $ 107.00 <br /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 107.00 <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />